上海某三甲儿童专科医院十年间临床营养支持管理进展及相关数据分析  

Progress of clinical nutrition support management and corresponding data analysis in a tertiary(A)children's hospital in Shanghai in the past ten years

作　　者：包懿雯 鲍成宇[1] 费俊[1] 郑家琦 洪莉[1] 赵卓琦[1] Bao Yiwen;Bao Chengyu;Fei Jun;Zheng Jiaqi;Hong Li;Zhao Zhuoqi(Department of Clinical Nutrition,Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心临床营养科,200127

出　　处：《中华临床营养杂志》2022年第2期108-113,共6页Chinese Journal of Clinical Nutrition

基　　金：上海卫生健康系统重要薄弱学科建设项目(2019ZB0103)。

摘　　要：目的分析上海交通大学医学院附属上海儿童医学中心近10年住院患儿行肠内营养(enteral nutrition,EN)支持的数据及变化趋势,为营养医师及营养师在EN的应用管理方面提供参考。方法对2011至2020年该中心临床营养科肠外营养和EN支持的人数、肠内制剂及膳食的种类、数量、比例等数据进行收集和统计分析。结果该院临床营养科为全院住院患儿提供75种膳食选择,每年患儿应用普通膳食及特殊膳食者基本稳定在76000例次左右。10年间,每年提供21种普通配方和特殊配方,每年总配方使用稳定在46000例次左右。10年间普通配方的总量及应用者占比均呈下降趋势,特殊配方应用例数占出院例数的比例稳定在约10%,其中高热量配方和深度水解配方的用量占比呈上升趋势。结论EN制剂和住院膳食都是营养治疗的重要组成部分,其应用的变化在一定程度上反映了临床疾病谱的变化和临床学科的发展,而营养师在营养支持团队中扮演着重要的角色。Objective To analyze the paradigm and changes of enteral nutrition support for hospitalized children in Shanghai Children's Medical Center affiliated to School of Medicine of Shanghai,Jiao Tong University in last ten years,so as to provide guidance for nutritionists and dietitians on the application and management of enteral nutrition.Method Relevant data were collected and analyzed from 2011 to 2020 in the Clinical Nutrition Department of Shanghai Children's Medical Center,including the implementation status of parenteral and enteral nutrition as well as the types and distribution of different enteral nutrition formulas and diet.Results The Clinical Nutrition Department of our hospital provided seventy-five types of diet for hospitalized children.The utilization of ordinary diets and specialized diets has been stable at about 76,000 cases per year.In the past decade,twenty-one ordinary formulas and special formulas were provided every year by the Clinical Nutrition Department in our hospital and the utilization has been stable at 46,000 cases per year.The total consumption of ordinary formulas and the proportion of ordinary formulas users showed a descending trend.The proportion of specialized formulas users among discharged patients remained at 10%,with an upward trend in the proportion of high-calorie formulas and extensively-hydrolyzed formulas.Conclusions The enteral nutrition formulas and inpatient diets are important components of nutritional treatment.The evolution of its clinical application to some extent reflects the changes of disease spectrum and the development of clinical disciplines.In short,the dietitians play a significant role in the nutrition support team.

关 键 词：营养师 肠内营养支持 肠内制剂 住院膳食 

分 类 号：R459.3[医药卫生—治疗学] R725[医药卫生—临床医学]